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Individual

CAROLINA IBARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
502 W KEARNEY ST STE 200, MESQUITE, TX 75149-3477
(972) 454-9309
(972) 338-9378
Mailing address
PO BOX 852647, RICHARDSON, TX 75085-2647
(972) 454-9309
(972) 338-9378

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
04/28/2022
Last updated
04/28/2022
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